<!DOCTYPE html>
<html>
<head>
  <meta charset="utf-8">
  <title>layui</title>
  <meta name="renderer" content="webkit">
  <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
  <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
  <link rel="stylesheet" href="../../lib/layui-v2.6.3/css/layui.css" media="all">
  <link rel="stylesheet" href="../../css/public.css" media="all">
  <style>
    body {
      background-color: #ffffff;
    }
  </style>
</head>
<body>
<div class="layui-form layuimini-form">
  <div class="layui-form-item">
    <label class="layui-form-label required">ID</label>
    <div class="layui-input-block">
      <input type="text" name="paitientId" lay-verify="required" lay-reqtext="ID不能为空" placeholder="请输入ID" value="" class="layui-input">
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label required">用户名</label>
    <div class="layui-input-block">
      <input type="text" name="paitientName" lay-verify="required" lay-reqtext="用户名不能为空" placeholder="请输入用户名" value="" class="layui-input">
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label required">性别</label>
    <div class="layui-input-block">
      <input type="text" name="paitientGender" value="男"  value="" >
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label required">手机</label>
    <div class="layui-input-block">
      <input type="number" name="phone" lay-verify="required" lay-reqtext="手机不能为空" placeholder="请输入手机" value="" class="layui-input">
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">入院时间</label>
    <div class="layui-input-block">
      <input type="text" name="paitientDateStart" placeholder="请输入类似2019-10-1" value="" class="layui-input">
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">所属科室</label>
    <div class="layui-input-block">
      <input type="text" name="paitientDept" placeholder="请输入所属科室" value="" class="layui-input">
    </div>
  </div>
  <div class="layui-form-item layui-form-text">
    <label class="layui-form-label">状况</label>
    <div class="layui-input-block">
      <textarea name="paitientState" class="layui-textarea" placeholder="请输入状况"></textarea>
    </div>
  </div>

  <div class="layui-form-item layui-form-text">
    <label class="layui-form-label">主治医师</label>
    <div class="layui-input-block">
      <input type="text" name="paitientDoc" class="layui-textarea" value="" placeholder="请输入主治医师">
    </div>
  </div>
  <div class="layui-form-item layui-form-text">
    <label class="layui-form-label">房间号</label>
    <div class="layui-input-block">
      <input name="paitientRoom" class="layui-textarea" value="" placeholder="请输入房间号">
    </div>
  </div>
  <div class="layui-form-item layui-form-text">
    <label class="layui-form-label">床位号</label>
    <div class="layui-input-block">
      <input value="" name="paitientBed" class="layui-textarea" value="" placeholder="请输入床位号">
    </div>
  </div>



  <div class="layui-form-item">
    <div class="layui-input-block">
      <button class="layui-btn layui-btn-normal" lay-submit lay-filter="saveBtn">确认保存</button>
    </div>
  </div>
</div>
<script src="../../lib/layui-v2.6.3/layui.js" charset="utf-8"></script>
<script>
  layui.use(['form'], function () {
    var form = layui.form,
            layer = layui.layer,
            $ = layui.$;

    //监听提交
    form.on('submit(saveBtn)', function (data) {
      const shuju=data.field
      shuju.status = 1
      const http = localStorage.getItem('http')
      $.ajax({
        method:"POST",
        data:JSON.stringify(shuju),
        contentType:'application/json',
        url:http+`/Paitients/save`,
        success:function (result){
          var index = parent.layer.getFrameIndex(window.name)
          parent.layer.close(index)
          window.parent.location.reload()
        }
      })
        layer.closeAll()
      return false;
    });

  });
</script>
</body>
</html>
